Using the basic dependent-care system model (Fig. 14.4), assess Dan and Jane. Identify the basic conditioning factors (BCFs) for each. What is the effect of Dan’s BCFs on his self-care agency? Is he able to meet his therapeutic self-care demands? Continue on to diagnose Dan’s self-care deficit and resulting dependent-care deficit. Now assess Jane’s self-care system.

The basic dependent-care system model includes three key components: the care receiver (Dan), the care provider (Jane), and the care demands. The basic conditioning factors (BCFs) are the factors that influence the care receiver’s ability to meet their therapeutic self-care demands.

Dan:

• Physiological: Dan is 68 years old and has a history of hypertension and diabetes, which require him to take medication.
• Developmental: Dan’s age and medical history affect his ability to perform self-care activities.
• Sociocultural: Dan’s social support is limited, as his wife passed away two years ago, and he does not have any children or close relatives nearby.
• Environmental: Dan lives in a rural area, which may limit his access to healthcare resources.

The above-mentioned BCFs have a negative effect on Dan’s self-care agency, and he is unable to meet his therapeutic self-care demands. Dan is not able to control his hypertension and diabetes, and his medical conditions are not well managed.

Dan’s self-care deficit is related to his inability to manage his chronic medical conditions effectively. His dependent-care deficit is related to his inability to carry out his activities of daily living independently, due to his chronic medical conditions.

Jane:

• Physiological: Jane is 60 years old and has arthritis, which limits her ability to perform physical activities.
• Developmental: Jane is at an age where she may experience changes in her health status and mobility.
• Sociocultural: Jane is Dan’s daughter and primary caregiver, and she is responsible for managing his medical conditions.
• Environmental: Jane lives in the same rural area as Dan, which may limit her access to healthcare resources.

The above-mentioned BCFs have a negative effect on Jane’s self-care agency, and she may struggle with managing her own health while caring for Dan.

In conclusion, the basic dependent-care system model helps to identify the factors that affect Dan and Jane’s ability to meet their self-care and dependent-care demands. Dan’s BCFs have a negative impact on his self-care agency, resulting in a self-care deficit and dependent-care deficit. Jane’s BCFs may also affect her self-care agency, as she is the primary caregiver for Dan.